I have a very high calcium score. What next?

Sounds like you are doing everything right. Dietary cholesterol in food doesn't cause heart disease, and not eating eggs won't make any difference, in fact eggs and occasional weekly yolks are good for you. And statins do cause calcium build-up but that's a good thing, you have stabilized plaque which most likely won't break up unlike uncalcified soft gooey stuff that does and causes all sorts of problems.

My CAC was (is) 1600. I too freaked out because did not know the implications if any. Cardiologist interventionist suggested a stent on my LAD but while on the angiogram procedure table I wanted confirmation that I really needed one. His response was "if you were a relative I would tell you to do it". Still, he didn't give a blockage percentage. I decided rght there and then NOT to get a stent (getting it takes a while to adjust so I have heard). Later I learned from this "doctor" that I had 60-70% blockage. I am glad I didn't get a stent.
Having said that its been almost two years of that event. I am taking Rosuvastatin 20mg. (started w/10mg). and baby aspirin e/day. I see another cardiologist now but my blood tests are just a bit off. Statins cause calcium buildup as well. I have homocysteine (having a hard time processing folate acid). I might go into vitamin therapy to see how to increase the absorption of B12, B6, and folic acid. My white blood cell count is somewhat low but that might be genetic. Overall my heart functions with no glitches. I am asymptomatic (tennis, swimm, exercesie with no problem). I am 65. I take arginine (pre workout), creatin (post workout), Vitamin B12, Vitamin D, collagen and Omega as supplement. I do not smoke and not a drinker.
Getting a stent might be something that now I consider in the -near- future. Not immedaitely. I have to eat more vegetables, limit my starches. I am not eating eggs or even red lean meats to keep my cholesterol low but because of my homocysteine issue might have to eat eggs and red meat.
I have an appointment today w/my cardiologist. Will see.....

The body can take months to get adjusted to statin use including what you describe, muscle cramps etc. Give it eight weeks, if you still have symptoms cut your dosage down or switch statins, there are many out there.

I am also taking This statin. I have had headaches two weeks after I started. A dull headache seems like a sinus headache. I am wondering if my histamine level has increased since taking this drug. Have you had any side effects like this? or anyone?

LpA 211 - Calcium 1996 - 2 stress test came back w excellent results. I didn’t trust results and said I had shortness of breath ( I lied ). Angiogram scheduled and I had a 90% blockage. You need to advocate for yourself even if you have to stretch the truth… I feel so fortunate..

@cianci
My stress test was fine. Cardiologist says no further testing necessary as long as I remain symptom-free, and that there is "a ton of research that taking the meds better than going to get the anngiogram". A childhood friend who's also a cardiologist agrees.

So two cardiologists disagreed with those here and elsewhere who say you can't trust these things alone, and must get an angiogram or heart cath to be sure. So I will listen to them.

7 years ago , i thought i was fine! Come to find out i was not fine at all! I was not sleeping very well because i had to go pee just about every other hour or so! I was moving like a sloth everywhere i went and no matter what i was doing , it was taking twice & sometimes 3 times longer than it should have taken me to do it!!! And boy ,was I swelling up ! Anyway I ended up getting a stress test done (And I was so glad that i did) , because i had 2 stents put right up next to each other because i had already had a heart attack and i never knew it. It ended up with me having a left bundle branch block

18 months ago calcium score of 3535,
first and only test. Cardiologist was aghast, as was I. He gave me a stress test and said any abnormality, he would go straight to angiogram.
Stress test was normal, he said conventional medicine would stop at that.
But, he said to be careful, I should get an angiogram.
I haven't, at least not yet. I kinda agree with heycal above

This is a great forum. Recently got three stents in my RCA. I got a 550 CAC score in November after experiencing shortness of breath. An abnormal stress test led to a CT Angio w contrast which showed some stenosis. Cath lab confirmed 90% blockage in RCA and mild disease in LAD.

Otherwise healthy 50yo and in shape. Dad had bypass at 55. Seems to be very much in my genes. Now on plavix, 20mg Crestor, baby aspirin and Lopressor. Definitely a wake up call. I feel this CAC test may have saved me from an early death or a serious cardiac event.

Finally tracked down Dr. Lown's essays #28 and #31. While I may have an extremely high calcium score (4048) and I'm fearing the worst, I think it would now be harder to convince me -- a guy with no current symptoms -- to undergo CABG based on some test results, as apparently many have done. I will do the nuclear stress test I've got scheduled for this week, but may stop there if I pass despite many here and elsewhere who say that test is not definitive and cath or such much be done as well.

I already have a stent in my neck for carotid artery disease that progressed to 90%, also without symptoms, and all that was/is fine so far. (Done fall 2022). But a part of me is questioning the value of a bunch of procedures, particularly something big like CABG, when I feel fine.

Is modern medicine keeping me from dropping dead any second, or consuming with me with unnecessary worry and intervention? I'm not sure. There's a definite part of me who wishes I'd never gotten any of these tests.